EP2272454B1 - Electrosurgical jaws with offset knife - Google Patents
Electrosurgical jaws with offset knife Download PDFInfo
- Publication number
- EP2272454B1 EP2272454B1 EP10168705A EP10168705A EP2272454B1 EP 2272454 B1 EP2272454 B1 EP 2272454B1 EP 10168705 A EP10168705 A EP 10168705A EP 10168705 A EP10168705 A EP 10168705A EP 2272454 B1 EP2272454 B1 EP 2272454B1
- Authority
- EP
- European Patent Office
- Prior art keywords
- knife
- jaw members
- guide
- channel
- forceps
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
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- 239000012636 effector Substances 0.000 claims abstract description 27
- 230000036316 preload Effects 0.000 claims description 3
- 238000007789 sealing Methods 0.000 description 10
- 230000008901 benefit Effects 0.000 description 6
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- 238000004519 manufacturing process Methods 0.000 description 4
- 238000000034 method Methods 0.000 description 4
- 238000002355 open surgical procedure Methods 0.000 description 4
- 241001631457 Cannula Species 0.000 description 3
- 230000004913 activation Effects 0.000 description 3
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- 230000000740 bleeding effect Effects 0.000 description 2
- 238000012976 endoscopic surgical procedure Methods 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
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- 230000001419 dependent effect Effects 0.000 description 1
- 238000002674 endoscopic surgery Methods 0.000 description 1
- 230000035876 healing Effects 0.000 description 1
- 238000010438 heat treatment Methods 0.000 description 1
- 230000023597 hemostasis Effects 0.000 description 1
- 239000002874 hemostatic agent Substances 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
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- 238000012830 laparoscopic surgical procedure Methods 0.000 description 1
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- 235000020637 scallop Nutrition 0.000 description 1
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Images
Classifications
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- A—HUMAN NECESSITIES
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
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- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/2909—Handles
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- A—HUMAN NECESSITIES
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- A61B17/32—Surgical cutting instruments
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- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/295—Forceps for use in minimally invasive surgery combined with cutting implements
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- A—HUMAN NECESSITIES
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- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
- A61B18/1445—Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
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- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
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- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
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- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
- A61B2018/1452—Probes having pivoting end effectors, e.g. forceps including means for cutting
- A61B2018/1455—Probes having pivoting end effectors, e.g. forceps including means for cutting having a moving blade for cutting tissue grasped by the jaws
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- A—HUMAN NECESSITIES
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- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/03—Automatic limiting or abutting means, e.g. for safety
- A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
- A61B2090/034—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
Definitions
- the present disclosure relates to an electrosurgical jaws and, more particularly, to an elongated endoscopic electrosurgical forceps with a knife for sealing and/or cutting tissue.
- a forceps is disclosed in US-A-2003/0018331 on which is based the pre-characterizing part A claim 1 below. Similar disclosures can be found in EP-A-1810625 , EP-A-1649821 and in US-A-2007/0078456 .
- Electrosurgical forceps utilize both mechanical clamping action and electrical energy to effect hemostasis by heating tissue and blood vessels to coagulate, cauterize and/or seal tissue.
- open forceps for use with open surgical procedures
- many modem surgeons use endoscopic or laparoscopic instruments for remotely accessing organs through smaller, puncture-like incisions or natural orifices. As a direct result thereof, patients tend to benefit from less scarring and reduced healing time.
- Endoscopic instruments for example, are inserted into the patient through a cannula, or port, which has been made with a trocar.
- Typical sizes for cannulas range from three millimeters to twelve millimeters. Smaller cannulas are usually preferred, which, as can be appreciated, ultimately presents a design challenge to instrument manufacturers who must find ways to make endoscopic instruments that fit through the smaller cannulas.
- the surgeon advances a knife to sever the sealed tissue disposed between the opposing jaw members.
- the knife blade is difficult to advance through the knife channel defined between jaw members or is subject to wear and tear over repeated use due to the relative position of the knife blade through the knife channel (contacting the sides of the knife channel).
- the present disclosure relates to an endoscopic forceps that includes a housing having a shaft attached thereto with a longitudinal axis defined therethrough.
- An end effector assembly is disposed at a distal end thereof and includes first and second jaw members disposed in opposing relation relative to one another and moveable from a first, open position to a second, closed position for grasping tissue therebetween.
- Each of the jaw members includes a proximal flange adapted to communicate with a drive assembly for moving the jaw members between the first and second positions.
- One or both of the of the jaw members has a curved knife channel (or a portion, e.g., distal portion, of the knife channel is curved) defined therein having a proximal end that is offset from the longitudinal axis defined through the shaft.
- a knife guide is assembled to an outer surface of one of the proximal flanges of the jaw members on the same side as the proximal end of the knife channel and defines a knife path therein configured to guide a knife into the knife channel for translation therethrough.
- One or more handles may be included that operably couple to the drive assembly for moving the jaw members between the first and second positions.
- the endoscopic forceps is an electrosurgical instrument and at least one of the jaw members is adapted to connect to an electrosurgical energy source to communicate energy to tissue disposed between the jaw members.
- the proximal flanges of the end effector and the knife guide include elongated slots defined therethrough that cooperate with a drive pin operably connected to the drive assembly to move the jaw members from the first to second positions.
- the elongated slots of the proximal flanges may be cam slots that operably engage the drive pin and the elongated slot of the knife guide may be a pass-through or non-engaging slot.
- the offset knife channel and the disposition of the knife guide relative to the longitudinal axis facilitate substantially straight extension of the knife through the knife channel along a substantial length of the knife channel. This configuration helps prevent binding of the knife during translation through the knife channel.
- the proximal end of the knife channel may be offset a distance "X" relative to the longitudinal axis "A" defined through the forceps, wherein "X” is in the range of about 250 ⁇ m to about 1 mm (about 0.010 inches to about 0.040 inches).
- the knife channel may be defined within both the first and second jaw members and the knife guide can be configured to preload the jaw members during assembly for ensuring proper alignment of the knife channels to facilitate translation of the knife therethrough.
- the knife guide includes one or more channels defined therein that are configured to guide a corresponding number of electrical leads to the jaw member(s) for supplying electrosurgical energy thereto.
- the present disclosure also relates to an endoscopic forceps that includes a housing having a shaft attached thereto with a longitudinal axis defined therethrough and an end effector assembly disposed at a distal end thereof.
- the end effector assembly includes first and second jaw members disposed in opposing relation relative to one another and moveable from a first, open configuration to a second, closed configuration for grasping tissue therebetween.
- Each of the jaw members includes a proximal flange adapted to communicate with a drive assembly for moving the jaw members between the first and second positions.
- One or both of the of the jaw members has a knife channel defined therein having a proximal end that is offset from the longitudinal axis defined through the shaft.
- a knife guide is assembled to an outer surface of one of the proximal flanges of the jaw members on the same side as the proximal end of the knife channel and defines a knife path therein configured to guide a knife into the knife channel for translation therethrough.
- the knife guide includes a blade stop at a distal end thereof that is positionable from a first position that interferes with or obstructs the knife path to prevent distal translation of the knife when the jaw members are disposed in an first, open configuration to a second position that allows distal translation of the knife when the jaw members are disposed in the second, closed configuration.
- the blade stop may be pivotably engaged to the knife guide and biased to obstruct the knife path when the jaw members are disposed in the first, open configuration.
- the forceps may include one or more handles that operably couple to a drive assembly for moving the jaw members between the first and second configurations.
- the forceps may be an electrosurgical forceps wherein one or both of the jaw members are adapted to connect to an electrosurgical energy source to communicate energy to tissue disposed between the jaw members.
- the proximal flanges of the end effector and the knife guide may include elongated slots defined therethrough that cooperate with a drive pin operably connected to the drive assembly to move the jaw members from the first to second configurations.
- the elongated slots of the proximal flanges may be cam slots that operably engage the drive pin and the elongated slot of the knife guide may be a pass-through or non-engaging slot.
- the offset knife channel and the disposition of the knife guide relative to the longitudinal axis may be configured to facilitate substantially straight extension of the knife through the knife channel along a substantial length of the knife channel.
- the proximal end of the knife channel may be offset a distance "X" relative to the longitudinal axis "A” defined through the forceps, wherein "X” is in the range of about 250 ⁇ m to about 1 mm (about 0.010 inches to about 0.040 inches).
- the knife guide includes one or more channels defined therein that are configured to guide a corresponding number of electrical leads to the jaw member for supplying electrosurgical energy thereto.
- an electrosurgical forceps 10 for use with various surgical procedures and generally includes a housing 20, a handle assembly 30, a rotating assembly 80, a knife trigger assembly 70 and an end effector assembly 100 which mutually cooperate to grasp, seal and divide tubular vessels and vascular tissue.
- a forceps 10 for use in connection with endoscopic or laparoscopic surgical procedures, the present instruments may be used for more traditional open surgical procedures.
- the forceps 10 is described in terms of an endoscopic or laparoscopic instrument; however, it is contemplated that an open version of the forceps may also include the same or similar operating components and features as described below.
- Forceps 10 includes a shaft 12 that has a distal end 16 dimensioned to mechanically engage the end effector assembly 100 and a proximal end 14 that mechanically engages the housing 20. How the shaft 12 connects to the end effector assembly 100 is described in more detail below. The proximal end 14 of shaft 12 is received within the housing 20 and the connections relating thereto are also described in detail below.
- proximal as is traditional, will refer to the end of the forceps 10 that is closer to the user, while the term “distal” will refer to the end that is further from the user.
- Forceps 10 also includes an electrosurgical cable 310 that may connect the forceps 10 to a source of electrosurgical energy, e.g., a generator.
- a source of electrosurgical energy e.g., a generator.
- Generators such as those sold by Covidien, located in Boulder, Colorado may be used as a source of both bipolar electrosurgical energy for sealing vessel and vascular tissues as well as monopolar electrosurgical energy which is typically employed to coagulate or cauterize tissue. It is envisioned that the generator may include various safety and performance features including isolated output, impedance control and/or independent activation of accessories.
- Handle assembly 30 includes two movable handles 30a and 30b disposed on opposite sides of housing 20. Handles 30a and 30b are movable relative to one another to actuate the end effector assembly 100 as explained in more detail below with respect to the operation of the forceps 10.
- Rotating assembly 80 is mechanically coupled to housing 20 and is rotatable approximately 90 degrees in either direction about a longitudinal axis "A.” Rotating assembly 80, when rotated, rotates shaft 12, which, in turn, rotates end effector assembly 100. Such a configuration allows end effector assembly 100 to be rotated approximately 90 degrees in either direction with respect to housing 20.
- end effector assembly 100 is attached at the distal end 16 of shaft 12 and includes a pair of opposing jaw members 110 and 120 (see Fig. 6 ).
- Handles 30a and 30b of handle assembly 30 ultimately connect to drive assembly 60 (see Fig. 2A ) which, together, mechanically cooperate to impart movement of the jaw members 110 and 120 from a first, open position wherein the jaw members 110 and 120 are disposed in spaced relation relative to one another, to a second, clamping or closed position wherein the jaw members 110 and 120 cooperate to grasp tissue therebetween.
- handles 30a and 30b each include an aperture 33a and 33b, respectively, defined therein which enables a user to grasp and move each respective handle 30a and 30b relative to one another.
- Handles 30a and 30b also include ergonomically-enhanced gripping elements 39a and 39b, respectively, disposed along an outer edge thereof which are designed to facilitate gripping of the handles 30a and 30b during activation. It is envisioned that gripping elements 39a and 39b may include one or more protuberances, scallops and/or ribs to enhance gripping.
- handles 30a and 30b are configured to extend outwardly on opposite sides from a transverse axis "B" defined through housing 20 which is perpendicular to longitudinal axis "A". Handles 30a and 30b are movable relative to one another in a direction parallel to axis "B” to open and close the jaw members 110 and 120 as needed during surgery. Details relating to the inner-working components of forceps 10 are disclosed in above-mentioned US-A-2007/0078456 . This forceps style is commonly referred to as an "in-line” or hemostat style forceps. In-line hemostats or forceps are more commonly manufactured for open surgical procedures and typically include a pair of shafts having integrally coupled handles which are movable relative to one another to open and close the jaw members disposed at the distal end thereof.
- each handle 30a and 30b is selectively moveable about pivot pins 34a and 34b attached to a distal end 21 of the housing 20 to actuate the jaw members 110 and 120. Movement of the handles 30a and 30b away from one another (and the housing 20) unlocks and opens the handles 30a and 30b and, in turn, the jaw members 110 and 120 for subsequent grasping or re-grasping of tissue.
- the handles 30a and 30b may be biased in an open configuration to facilitate handling and manipulation of the jaws within an operative field.
- Various spring-like mechanisms are contemplated which may be utilized to accomplish this purpose.
- Movable handles 30a and 30b are designed to provide a distinct lever-like mechanical advantage over conventional handle assemblies.
- the enhanced mechanical advantage for actuating the jaw members 110 and 120 is gained by virtue of the unique position and combination of several inter-cooperating elements which reduce the overall user forces necessary to obtain and maintain the jaw members 110 and 120 under ideal operating pressures of about 3 kg/cm 2 to about 16 kg/cm 2 . Details relating to the working components the handle assembly and drive assembly are disclosed in above-mentioned US-A-2007/0078456 .
- the end effector assembly 100 is designed as a bilateral assembly, i.e., both jaw members 110 and 120 pivot relative to one another about a pivot pin 185 disposed therethrough.
- a unilateral end effector assembly is also envisioned.
- End effector assembly 100 further includes a knife guide 133 that houses the knife blade 190 for translation therethrough. Knife guide 133 is assembled with flanges 113 and 123 to allow pivotable movement of the flanges 113 and 123 about a pivot pin 185 disposed between the jaw members 110 and 120 upon translation of a drive pin 180 as explained in more detail below.
- jaw members 110 and 120 include proximal flanges 113 and 123, respectively, which each include an elongated angled slot 181a and 181 b, respectively, defined therethrough.
- Drive pin 180 mounts jaw members 110 and 120 and knife guide 133 to the end of a rotating shaft 18 and within a cavity 17' defined at the distal ends 17a and 17b of drive actuator or sleeve 17 (See Fig. 5 ).
- Knife guide 133 includes an elongated slot 181c defined therethrough, configured for accepting the drive pin 180 and for allowing translation of the drive pin 180 within slots 181a-181c, which pivots the jaw members 110 and 120 relative to one another for grasping tissue.
- Knife guide 133 may also provide a unique safety feature for the forceps 10 as described in more detail below.
- the drive sleeve 17 Upon actuation of the drive assembly 60, the drive sleeve 17 reciprocates which, in turn, causes the drive pin 180 to ride within slots 181a and 181b to open and close the jaw members 110 and 120 as desired and similarly causes the drive pin 180 to ride within slot 181c of knife guide 133.
- the jaw members 110 and 120 pivot about pivot pin 185 disposed through respective pivot holes 186a and 186b defined within flanges 113 and 123, the jaw members 110 and 120 and hole 186c disposed within knife guide 133.
- knife guide 133 Upon actuation, knife guide 133 remains oriented in alignment with the shaft 12 as the jaws move about pivot pin 185 (See Fig. 6 ).
- squeezing handles 30a and 30b toward the housing 20 pulls drive sleeve 17 and drive pin 180 proximally to close the jaw members 110 and 120 about tissue grasped therebetween and pushing the sleeve 17 distally opens the jaw members 110 and 120 for grasping purposes.
- Flanges 113 and 123 of jaw members 110 and 120, respectively, are positioned in an abutting relationship with one another and knife guide 133 is positioned adjacent to flanges 113 and 123.
- Flanges 113, 123 and knife guide 133 are assembled and engaged via pivot pin 185 disposed through apertures 186a, 186b, and 186c, respectively.
- flanges 113, 123 are pivotable about one another via drive pin 180 disposed through slots 181a and 181b and of flanges 113, 123, respectively.
- a knife path 138 may be defined between flange 113 and knife guide 133, as shown in Figs. 6 and 7 .
- the knife path 138 longitudinally aligns with knife channels 115a and 115b defined within jaw members 110 and 120, such that knife blade 190 travels in a substantially straight path through knife path 138 and, further, through knife channels 115a and 115b.
- flanges 113 and 123 may be reversed, with knife path 138 being defined between flange 123 and blade guide 133.
- knife path 138 being defined between flange 123 and blade guide 133.
- the abutting relationship between flanges 113 and 123 strengthens the jaw flanges 113 and 123 since a blade path or blade channel does not need to be defined therebetween but, rather, is defined on an exterior side of one of the flanges 113 and 123.
- the knife 190 travels between the blade guide 133 and the flanges 113 and 123 and not between flanges.
- jaw splay may also be more easily controlled and tighter tolerances may be employed during the manufacturing process, thereby allowing tighter tolerances on certain features of the jaw member 110 and 120 resulting in better overall performance.
- the knife channels 115a and 115b defined within the jaw members 110 and 120, respectively may be more precisely aligned with less splay between the jaw members 110 and 120, thereby facilitating knife blade 190 translation.
- the strength of the flanges 113 and 123 is enhanced as well as the union therebetween, e.g., flat-on-flat abutting flange surfaces have more surface contact making the union therebetween stronger.
- the knife guide 133 may also be configured to pre-load jaw members 110 and 120 to help ensure proper alignment of knife channel halves 115a and 115b upon closing of the jaw members 110 and 120 as explained in more detail below.
- blade guide 133 may include a blade stop or hook 135 disposed at a distal end thereof.
- the blade stop 135 may be integrally associated with the knife guide 133 ( Fig. 6 ), the purpose of which is explained immediately below, or pivotably engaged with the knife guide 133, the purpose of which is explained with reference to Fig. 9 .
- the relationship between flanges 113 and 123 and blade guide 133 is established by pivot pin 185 disposed through apertures 186a, 186b, and 186c, respectively, and by drive pin 180 disposed through slots 181a, 181b and 181c, respectively.
- knife guide 133 pivots such the blade stop 135 interferes with the knife path 138, thereby preventing distal translation of knife blade 190.
- this may be accomplished by the knife guide 133 including an elongated slot 181c that is cammed when the drive pin 180 is biased in a distal-most position such that the knife guide 133 and blade stop 135 pivot thereby obstructing the knife path 138.
- the blade stop 135 may pivot relative to the knife guide 133 to obstruct the knife path 138 (See Fig. 9 ).
- the elongated slot 181c may be constructed as a pass-through or non-engaging slot.
- the knife guide 133 prevents distal advancement of knife blade 190 when jaw members 110 and 120 are in the first, open position and permits distal advancement of knife blade 190 when jaw members 110 and 120 are in the second, closed position.
- a hook may be disposed on either of flanges 113 or 123.
- the hook would operate in substantially the same manner as the blade stop 135 disposed on the blade guide 133 in the embodiment discussed above. Accordingly, as jaw members 110, 120 are opened, the hook on flange 113 or 123 is pivoted into the path of knife blade 190, thereby preventing distal translation of knife blade 190.
- handles 30a and 30b are squeezed toward the housing 20, drive sleeve 17 and drive pin 180 are pulled proximally to close the jaw members 110 and 120. The pulling of drive pin 180 also pivots flanges 113 and 123, thereby closing the jaw members 110 and 120 and as a result, the hook is pivoted out of the path of knife blade 190.
- jaw member 110 also includes a support base 119 that extends distally from flange 113 and that is configured to support an insulative plate 119' thereon.
- Insulative plate 119' is configured to support an electrically conductive tissue engaging surface or sealing plate 112 thereon.
- Sealing plate 112 may be affixed atop the insulative plate 119' and support base 119 in any suitable manner, e.g., snap-fit, over-molding, stamping, ultrasonically welded, etc.
- Support base 119 together with the insulative plate 119' and electrically conductive tissue engaging surface 112 are encapsulated by an outer insulative housing 114.
- Outer housing 114 includes a cavity 114a that is dimensioned to securely engage the electrically conductive sealing surface 112 as well as the support base 119 and insulative plate 119'. This may be accomplished by stamping, by overmolding, by overmolding a stamped electrically conductive sealing plate and/or by overmolding a metal injection molded seal plate. All of these manufacturing techniques produce jaw member 110 having an electrically conductive surface 112 that is substantially surrounded by an insulating substrate 114.
- the electrically conductive surface or sealing plate 112 and the outer housing 114 when assembled, form longitudinally-oriented knife channel 115a defined therethrough for reciprocation of the knife blade 190. It is envisioned that the knife channel 115a cooperates with corresponding knife channel 115b defined in jaw member 120 to facilitate longitudinal extension of the knife blade 190 along a preferred cutting plane to effectively and accurately separate the tissue along the formed tissue seal. As discussed above, when knife blade 190 is deployed, at least a portion of knife blade 190 advances through knife path 138 and into knife channels 115a and 115b.
- handle 30a may includes a lockout flange (not shown) which prevents actuation of the knife assembly 70 when the handle 30a is open thus preventing accidental or premature activation of the knife blade 190 through the tissue.
- a lockout flange (not shown) which prevents actuation of the knife assembly 70 when the handle 30a is open thus preventing accidental or premature activation of the knife blade 190 through the tissue.
- the knife channel 115 is formed when the jaw members 110 and 120 are closed.
- the knife channel 115 includes two knife channel halves - knife channel half 115a disposed in sealing plate 112 of jaw member 110 and knife channel half 115b disposed sealing plate 122 of jaw member 120.
- the knife channel 115 may be configured as a straight slot with no degree of curvature which, in turn, causes the blade 190 to move through the tissue in a substantially straight fashion.
- the knife channel 115 may be curved, which has certain surgical advantages. In the particular embodiment shown in Figs.
- the knife channel 115 (knife channel 115a shown) is curved and is offset from the centerline or longitudinal axis "A" of the forceps 10 by a distance "X" (See Figs. 7 and 8 ).
- This offset distance "X" may be in the range of about 250 ⁇ m to about 1 mm (about 0.010 inches to about 0.040 inches).
- the offset orientation of the knife blade 190 (by virtue or the knife guide 133 being assembled on one side of the flanges 113 and 123 allows the knife blade to enter the knife channel 115 in a substantially straight orientation thereby facilitating separation of tissue. Moreover, the knife blade 190 travels in a substantially straight manner through most of the knife channel 115 and is only forced to bend around the knife channel 115 towards a distal end of the jaw members 110 and 120. Further, the offset orientation of the knife channel, e.g., knife channel 115b, and the disposition of the knife blade 190 traveling through the knife guide 133 also enhances the cutting effect and reduces the chances of the knife blade 190 binding during translation (extension or retraction).
- Knife channel 115 may be completely disposed in one of the two jaw members, e.g., jaw member 120, depending upon a particular purpose. It is also envisioned that jaw member 120 may be assembled in a similar manner as described above with respect to jaw member 110.
- electrical lead or wire 126 is shown extending from shaft 12 through knife housing 133 and entering wire tube 125 of jaw members 120.
- Wires 116 and 126 are used to supply electrical energy to electrically conductive sealing surfaces 112 and 122 of jaw members 110 and 120, respectively.
- knife housing 133 also acts as a wire guide, configured to guide wires 116 and 126 to jaw members 110 and 120. Electrical leads or wires 116 and 126 are protected by knife housing 133.
- Wire tube 125 ( Fig.
- jaw member 120 may be offset from a longitudinal axis "Y" of the forceps 10 in the same direction as the offset knife channel 115b, such that knife channel 115b is disposed above the wire tube 125.
- the offset "X" of the knife channel, e.g., knife channel 115b, and the offset “Y” of the disposition of the electrical lead or wire 126 relative to longitudinal axis "A" may be different or the same depending upon a particular purpose or to facilitate manufacturing.
- the offset distance "X" may be in the range of about 250 ⁇ m to about 1 mm (about 0.010 inches to about 0.040 inches) whereas the offset distance "Y" may be in the range about 1 mm to about 3.6 mm (about 0.040 inches to about 0.140 inches).
- X and "Y” configurations may be as follows: when “X” is of about 250 ⁇ m (about 0.010 inches) "Y” may be about 1 mm (about 0.040 inches) when “X” is about 0.43 mm (about 0.017 inches) “Y” may be about 1.78 mm (about 0.070 inches); and when “X” is about 0.86 mm (about 0.034 inches) “Y” may be about 3.6 mm (about 0.140 inches).
- Other configurations and offsets for "X” and “Y” are also contemplated and within the scope of this disclosure.
- Fig. 9 shows another embodiment of the knife guide 133' that includes similar features to the knife guide 133 described above such as elongated slot 181c', pivot hole 186c' and blade stop 135'.
- the blade stop is moveable from a first position that interferes with the knife path 138 (See Fig. 7 ) to prevent distal translation of the knife 190 when the jaw members 110 and 120 are disposed in an first, open configuration to a second position that allows distal translation of the knife 190 when the jaw members 110 and 120 are disposed in the second, closed configuration.
- the blade stop 135' is pivotably engaged to the knife guide 133' and biased to obstruct with the knife path 138 when the jaw members 110 and 120 are disposed in the first, open configuration.
- the blade stop 135 prevents distal advancement of knife blade 190 when jaw members 110 and 120 are in the first, open configuration and permits distal advancement of knife blade 190 when jaw members 110 and 120 are in the second, closed configuration.
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Abstract
Description
- The present disclosure relates to an electrosurgical jaws and, more particularly, to an elongated endoscopic electrosurgical forceps with a knife for sealing and/or cutting tissue. Such a forceps is disclosed in
US-A-2003/0018331 on which is based the pre-characterizing part A claim 1 below. Similar disclosures can be found inEP-A-1810625 ,EP-A-1649821 and inUS-A-2007/0078456 . - Electrosurgical forceps utilize both mechanical clamping action and electrical energy to effect hemostasis by heating tissue and blood vessels to coagulate, cauterize and/or seal tissue. As an alternative to open forceps for use with open surgical procedures, many modem surgeons use endoscopic or laparoscopic instruments for remotely accessing organs through smaller, puncture-like incisions or natural orifices. As a direct result thereof, patients tend to benefit from less scarring and reduced healing time.
- Endoscopic instruments, for example, are inserted into the patient through a cannula, or port, which has been made with a trocar. Typical sizes for cannulas range from three millimeters to twelve millimeters. Smaller cannulas are usually preferred, which, as can be appreciated, ultimately presents a design challenge to instrument manufacturers who must find ways to make endoscopic instruments that fit through the smaller cannulas.
- Many endoscopic surgical procedures require cutting or ligating blood vessels or vascular tissue. Due to the inherent spatial considerations of the surgical cavity, surgeons often have difficulty suturing vessels or performing other traditional methods of controlling bleeding, e.g., clamping and/or tying-off transected blood vessels. By utilizing an endoscopic electrosurgical forceps, a surgeon can either cauterize, coagulate/desiccate and/or simply reduce or slow bleeding simply by controlling the intensity, frequency and duration of the electrosurgical energy applied through the jaw members to the tissue. Most small blood vessels, i.e., in the range below two millimeters in diameter, can often be closed using standard electrosurgical instruments and techniques. However, if a larger vessel is ligated, it may be necessary for the surgeon to convert the endoscopic procedure into an open-surgical procedure and thereby abandon the benefits of endoscopic surgery. Alternatively, the surgeon can seal the larger vessel or tissue.
- Typically, after a vessel or tissue is sealed, the surgeon advances a knife to sever the sealed tissue disposed between the opposing jaw members. In some instances, the knife blade is difficult to advance through the knife channel defined between jaw members or is subject to wear and tear over repeated use due to the relative position of the knife blade through the knife channel (contacting the sides of the knife channel).
- The invention is defined in claim 1 below and the dependent claims are directed to optional features and preferred embodiments.
- The present disclosure relates to an endoscopic forceps that includes a housing having a shaft attached thereto with a longitudinal axis defined therethrough. An end effector assembly is disposed at a distal end thereof and includes first and second jaw members disposed in opposing relation relative to one another and moveable from a first, open position to a second, closed position for grasping tissue therebetween. Each of the jaw members includes a proximal flange adapted to communicate with a drive assembly for moving the jaw members between the first and second positions. One or both of the of the jaw members has a curved knife channel (or a portion, e.g., distal portion, of the knife channel is curved) defined therein having a proximal end that is offset from the longitudinal axis defined through the shaft. A knife guide is assembled to an outer surface of one of the proximal flanges of the jaw members on the same side as the proximal end of the knife channel and defines a knife path therein configured to guide a knife into the knife channel for translation therethrough. One or more handles may be included that operably couple to the drive assembly for moving the jaw members between the first and second positions.
- In one embodiment, the endoscopic forceps is an electrosurgical instrument and at least one of the jaw members is adapted to connect to an electrosurgical energy source to communicate energy to tissue disposed between the jaw members.
- In another embodiment, the proximal flanges of the end effector and the knife guide include elongated slots defined therethrough that cooperate with a drive pin operably connected to the drive assembly to move the jaw members from the first to second positions. The elongated slots of the proximal flanges may be cam slots that operably engage the drive pin and the elongated slot of the knife guide may be a pass-through or non-engaging slot.
- In yet another embodiment, the offset knife channel and the disposition of the knife guide relative to the longitudinal axis facilitate substantially straight extension of the knife through the knife channel along a substantial length of the knife channel. This configuration helps prevent binding of the knife during translation through the knife channel. The proximal end of the knife channel may be offset a distance "X" relative to the longitudinal axis "A" defined through the forceps, wherein "X" is in the range of about 250 µm to about 1 mm (about 0.010 inches to about 0.040 inches). The knife channel may be defined within both the first and second jaw members and the knife guide can be configured to preload the jaw members during assembly for ensuring proper alignment of the knife channels to facilitate translation of the knife therethrough.
- In still yet another embodiment, the knife guide includes one or more channels defined therein that are configured to guide a corresponding number of electrical leads to the jaw member(s) for supplying electrosurgical energy thereto.
- The present disclosure also relates to an endoscopic forceps that includes a housing having a shaft attached thereto with a longitudinal axis defined therethrough and an end effector assembly disposed at a distal end thereof. The end effector assembly includes first and second jaw members disposed in opposing relation relative to one another and moveable from a first, open configuration to a second, closed configuration for grasping tissue therebetween. Each of the jaw members includes a proximal flange adapted to communicate with a drive assembly for moving the jaw members between the first and second positions. One or both of the of the jaw members has a knife channel defined therein having a proximal end that is offset from the longitudinal axis defined through the shaft. A knife guide is assembled to an outer surface of one of the proximal flanges of the jaw members on the same side as the proximal end of the knife channel and defines a knife path therein configured to guide a knife into the knife channel for translation therethrough. The knife guide includes a blade stop at a distal end thereof that is positionable from a first position that interferes with or obstructs the knife path to prevent distal translation of the knife when the jaw members are disposed in an first, open configuration to a second position that allows distal translation of the knife when the jaw members are disposed in the second, closed configuration. The blade stop may be pivotably engaged to the knife guide and biased to obstruct the knife path when the jaw members are disposed in the first, open configuration.
- The forceps may include one or more handles that operably couple to a drive assembly for moving the jaw members between the first and second configurations. Moreover, the forceps may be an electrosurgical forceps wherein one or both of the jaw members are adapted to connect to an electrosurgical energy source to communicate energy to tissue disposed between the jaw members.
- The proximal flanges of the end effector and the knife guide may include elongated slots defined therethrough that cooperate with a drive pin operably connected to the drive assembly to move the jaw members from the first to second configurations. The elongated slots of the proximal flanges may be cam slots that operably engage the drive pin and the elongated slot of the knife guide may be a pass-through or non-engaging slot.
- In another embodiment, the offset knife channel and the disposition of the knife guide relative to the longitudinal axis may be configured to facilitate substantially straight extension of the knife through the knife channel along a substantial length of the knife channel. The proximal end of the knife channel may be offset a distance "X" relative to the longitudinal axis "A" defined through the forceps, wherein "X" is in the range of about 250 µm to about 1 mm (about 0.010 inches to about 0.040 inches).
- In yet another embodiment, the knife guide includes one or more channels defined therein that are configured to guide a corresponding number of electrical leads to the jaw member for supplying electrosurgical energy thereto.
- Various embodiments of the subject instrument are described herein with reference to the drawings wherein:
-
Fig. 1A is a top, perspective view of an endoscopic forceps shown in an open configuration and including a housing, a handle assembly, a shaft and an end effector assembly; -
Fig. 1B is a top, perspective view of the endoscopic forceps ofFig. 1A showing the end effector assembly in a closed configuration; -
Fig. 2A is an enlarged, top view of the forceps ofFig. 1A showing the disposition of the internal components when the forceps is in an open configuration; -
Fig. 2B is an enlarged, top view of the forceps ofFig. 1B showing the disposition of the internal components when the forceps is in a closed configuration; -
Fig. 3A is an enlarged, top view showing the knife actuator after actuation; -
Fig. 3B is a greatly-enlarged, side cross sectional view of the end effector assembly showing the position of the knife after actuation; -
Fig. 4A is a greatly-enlarged, perspective view of the bottom jaw of the end effector assembly with parts separated; -
Fig. 4B is a greatly-enlarged, perspective view of the top jaw of the end effector assembly with parts separated; -
Fig. 5 is a greatly-enlarged, perspective view of the elongated shaft for housing various moving parts of the drive assembly and knife assembly; -
Fig. 6 is a partially exploded, perspective view of the end effector assembly; -
Fig. 7 is a top view of the end effector assembly with the upper jaw member removed; -
Fig. 8 is a rear, perspective view of one of the jaw members in accordance with an alternate embodiment of the present invention; and -
Fig. 9 is an enlarged side view of another embodiment of the knife guide. - Turning now to
Figs. 1A and1B , one embodiment of anelectrosurgical forceps 10 is shown for use with various surgical procedures and generally includes ahousing 20, ahandle assembly 30, a rotatingassembly 80, aknife trigger assembly 70 and anend effector assembly 100 which mutually cooperate to grasp, seal and divide tubular vessels and vascular tissue. Although the majority of the figure drawings depict aforceps 10 for use in connection with endoscopic or laparoscopic surgical procedures, the present instruments may be used for more traditional open surgical procedures. For the purposes herein, theforceps 10 is described in terms of an endoscopic or laparoscopic instrument; however, it is contemplated that an open version of the forceps may also include the same or similar operating components and features as described below. -
Forceps 10 includes ashaft 12 that has adistal end 16 dimensioned to mechanically engage theend effector assembly 100 and aproximal end 14 that mechanically engages thehousing 20. How theshaft 12 connects to theend effector assembly 100 is described in more detail below. Theproximal end 14 ofshaft 12 is received within thehousing 20 and the connections relating thereto are also described in detail below. In the drawings and in the descriptions that follow, the term "proximal", as is traditional, will refer to the end of theforceps 10 that is closer to the user, while the term "distal" will refer to the end that is further from the user. -
Forceps 10 also includes anelectrosurgical cable 310 that may connect theforceps 10 to a source of electrosurgical energy, e.g., a generator. Generators such as those sold by Covidien, located in Boulder, Colorado may be used as a source of both bipolar electrosurgical energy for sealing vessel and vascular tissues as well as monopolar electrosurgical energy which is typically employed to coagulate or cauterize tissue. It is envisioned that the generator may include various safety and performance features including isolated output, impedance control and/or independent activation of accessories. - Handle
assembly 30 includes twomovable handles housing 20.Handles end effector assembly 100 as explained in more detail below with respect to the operation of theforceps 10. - Rotating
assembly 80 is mechanically coupled tohousing 20 and is rotatable approximately 90 degrees in either direction about a longitudinal axis "A." Rotatingassembly 80, when rotated, rotatesshaft 12, which, in turn, rotatesend effector assembly 100. Such a configuration allowsend effector assembly 100 to be rotated approximately 90 degrees in either direction with respect tohousing 20. - As mentioned above,
end effector assembly 100 is attached at thedistal end 16 ofshaft 12 and includes a pair of opposingjaw members 110 and 120 (seeFig. 6 ).Handles handle assembly 30 ultimately connect to drive assembly 60 (seeFig. 2A ) which, together, mechanically cooperate to impart movement of thejaw members jaw members jaw members - Turning now to the more detailed features of the present instruments, as described with respect to
Figs. 1A - 8C , handles 30a and 30b each include anaperture respective handle Handles gripping elements handles gripping elements - As best illustrated in
Fig. 1A , handles 30a and 30b are configured to extend outwardly on opposite sides from a transverse axis "B" defined throughhousing 20 which is perpendicular to longitudinal axis "A".Handles jaw members forceps 10 are disclosed in above-mentionedUS-A-2007/0078456 . This forceps style is commonly referred to as an "in-line" or hemostat style forceps. In-line hemostats or forceps are more commonly manufactured for open surgical procedures and typically include a pair of shafts having integrally coupled handles which are movable relative to one another to open and close the jaw members disposed at the distal end thereof. - As best seen in
Figs. 2A and2B , the distal end of eachhandle distal end 21 of thehousing 20 to actuate thejaw members handles handles jaw members handles -
Movable handles jaw members jaw members US-A-2007/0078456 . In other words, it is envisioned that the combination of these elements and their positions relative to one another enables the user to gain lever-like mechanical advantage to actuate thejaw members jaw members - As shown best in
Figs. 4A ,4B ,5 and6 , theend effector assembly 100 is designed as a bilateral assembly, i.e., bothjaw members pivot pin 185 disposed therethrough. A unilateral end effector assembly is also envisioned.End effector assembly 100 further includes aknife guide 133 that houses theknife blade 190 for translation therethrough.Knife guide 133 is assembled withflanges flanges pivot pin 185 disposed between thejaw members drive pin 180 as explained in more detail below. - More particularly,
jaw members proximal flanges angled slot Drive pin 180 mountsjaw members knife guide 133 to the end of arotating shaft 18 and within a cavity 17' defined at the distal ends 17a and 17b of drive actuator or sleeve 17 (SeeFig. 5 ).Knife guide 133 includes anelongated slot 181c defined therethrough, configured for accepting thedrive pin 180 and for allowing translation of thedrive pin 180 withinslots 181a-181c, which pivots thejaw members Knife guide 133 may also provide a unique safety feature for theforceps 10 as described in more detail below. - Upon actuation of the
drive assembly 60, thedrive sleeve 17 reciprocates which, in turn, causes thedrive pin 180 to ride withinslots jaw members drive pin 180 to ride withinslot 181c ofknife guide 133. Thejaw members pivot pin 185 disposed throughrespective pivot holes flanges jaw members hole 186c disposed withinknife guide 133. Upon actuation,knife guide 133 remains oriented in alignment with theshaft 12 as the jaws move about pivot pin 185 (SeeFig. 6 ). As can be appreciated, squeezinghandles housing 20 pullsdrive sleeve 17 anddrive pin 180 proximally to close thejaw members sleeve 17 distally opens thejaw members -
Flanges jaw members knife guide 133 is positioned adjacent toflanges Flanges knife guide 133 are assembled and engaged viapivot pin 185 disposed throughapertures flanges drive pin 180 disposed throughslots flanges knife path 138 may be defined betweenflange 113 andknife guide 133, as shown inFigs. 6 and 7 . Theknife path 138 longitudinally aligns withknife channels jaw members knife blade 190 travels in a substantially straight path throughknife path 138 and, further, throughknife channels - Alternatively, the orientation of
flanges knife path 138 being defined betweenflange 123 andblade guide 133. In contrast to prior known designs, the abutting relationship betweenflanges 113 and 123 (in either orientation) strengthens thejaw flanges flanges knife 190 travels between theblade guide 133 and theflanges knife path 138 on either side of theflanges jaw member - For example, the
knife channels jaw members jaw members knife blade 190 translation. Moreover, the strength of theflanges knife guide 133 may also be configured to pre-loadjaw members knife channel halves jaw members - As best shown in
Fig. 6 ,blade guide 133 may include a blade stop or hook 135 disposed at a distal end thereof. Theblade stop 135 may be integrally associated with the knife guide 133 (Fig. 6 ), the purpose of which is explained immediately below, or pivotably engaged with theknife guide 133, the purpose of which is explained with reference toFig. 9 . The relationship betweenflanges blade guide 133 is established bypivot pin 185 disposed throughapertures drive pin 180 disposed throughslots jaw members knife guide 133 pivots such theblade stop 135 interferes with theknife path 138, thereby preventing distal translation ofknife blade 190. In one embodiment, this may be accomplished by theknife guide 133 including anelongated slot 181c that is cammed when thedrive pin 180 is biased in a distal-most position such that theknife guide 133 and blade stop 135 pivot thereby obstructing theknife path 138. Alternatively, theblade stop 135 may pivot relative to theknife guide 133 to obstruct the knife path 138 (SeeFig. 9 ). In this instance, theelongated slot 181c may be constructed as a pass-through or non-engaging slot. - When handles 30a and 30b are squeezed toward the
housing 20,drive sleeve 17 anddrive pin 180 are pulled proximally to close thejaw members knife guide 133 so that the blade stop 135 no longer obstructs or interferes with theknife path 138. Thus, in this embodiment, theknife guide 133, by virtue of theblade stop 135, prevents distal advancement ofknife blade 190 whenjaw members knife blade 190 whenjaw members - Alternatively, a hook (not shown) may be disposed on either of
flanges blade guide 133 in the embodiment discussed above. Accordingly, asjaw members flange knife blade 190, thereby preventing distal translation ofknife blade 190. When handles 30a and 30b are squeezed toward thehousing 20,drive sleeve 17 anddrive pin 180 are pulled proximally to close thejaw members drive pin 180 also pivotsflanges jaw members knife blade 190. - As best shown in
Fig. 4B ,jaw member 110 also includes asupport base 119 that extends distally fromflange 113 and that is configured to support an insulative plate 119' thereon. Insulative plate 119', in turn, is configured to support an electrically conductive tissue engaging surface or sealingplate 112 thereon.Sealing plate 112 may be affixed atop the insulative plate 119' andsupport base 119 in any suitable manner, e.g., snap-fit, over-molding, stamping, ultrasonically welded, etc.Support base 119 together with the insulative plate 119' and electrically conductivetissue engaging surface 112 are encapsulated by an outerinsulative housing 114.Outer housing 114 includes acavity 114a that is dimensioned to securely engage the electricallyconductive sealing surface 112 as well as thesupport base 119 and insulative plate 119'. This may be accomplished by stamping, by overmolding, by overmolding a stamped electrically conductive sealing plate and/or by overmolding a metal injection molded seal plate. All of these manufacturing techniques producejaw member 110 having an electricallyconductive surface 112 that is substantially surrounded by an insulatingsubstrate 114. - The electrically conductive surface or sealing
plate 112 and theouter housing 114, when assembled, form longitudinally-orientedknife channel 115a defined therethrough for reciprocation of theknife blade 190. It is envisioned that theknife channel 115a cooperates withcorresponding knife channel 115b defined injaw member 120 to facilitate longitudinal extension of theknife blade 190 along a preferred cutting plane to effectively and accurately separate the tissue along the formed tissue seal. As discussed above, whenknife blade 190 is deployed, at least a portion ofknife blade 190 advances throughknife path 138 and intoknife channels blade stop 135,handle 30a may includes a lockout flange (not shown) which prevents actuation of theknife assembly 70 when thehandle 30a is open thus preventing accidental or premature activation of theknife blade 190 through the tissue. A more detailed discussion of the lockout flange is discussed in above-mentionedUS-A-2007/0078456 . - As explained above and as illustrated in
Figs. 4A and4B , in one embodiment, theknife channel 115 is formed when thejaw members knife channel 115 includes two knife channel halves -knife channel half 115a disposed in sealingplate 112 ofjaw member 110 andknife channel half 115b disposed sealingplate 122 ofjaw member 120. It is envisioned that theknife channel 115 may be configured as a straight slot with no degree of curvature which, in turn, causes theblade 190 to move through the tissue in a substantially straight fashion. Alternatively, and as shown, theknife channel 115 may be curved, which has certain surgical advantages. In the particular embodiment shown inFigs. 6 and 7 , the knife channel 115 (knife channel 115a shown) is curved and is offset from the centerline or longitudinal axis "A" of theforceps 10 by a distance "X" (SeeFigs. 7 and8 ). This offset distance "X" may be in the range of about 250 µm to about 1 mm (about 0.010 inches to about 0.040 inches). - The offset orientation of the knife blade 190 (by virtue or the
knife guide 133 being assembled on one side of theflanges knife channel 115 in a substantially straight orientation thereby facilitating separation of tissue. Moreover, theknife blade 190 travels in a substantially straight manner through most of theknife channel 115 and is only forced to bend around theknife channel 115 towards a distal end of thejaw members knife channel 115b, and the disposition of theknife blade 190 traveling through theknife guide 133 also enhances the cutting effect and reduces the chances of theknife blade 190 binding during translation (extension or retraction). - As mentioned above, when the
jaw members knife channels complete knife channel 115 to allow longitudinal extension of theknife blade 190, from theknife path 138, in a distal fashion to sever tissue along a tissue seal.Knife channel 115 may be completely disposed in one of the two jaw members, e.g.,jaw member 120, depending upon a particular purpose. It is also envisioned thatjaw member 120 may be assembled in a similar manner as described above with respect tojaw member 110. - Referring now to
Figs. 6 and8 , electrical lead orwire 126 is shown extending fromshaft 12 throughknife housing 133 and enteringwire tube 125 ofjaw members 120.Wires jaw members Fig. 6 ,knife housing 133 also acts as a wire guide, configured to guidewires jaw members wires knife housing 133. Wire tube 125 (Fig. 8 ) ofjaw member 120, may be offset from a longitudinal axis "Y" of theforceps 10 in the same direction as the offsetknife channel 115b, such thatknife channel 115b is disposed above thewire tube 125. The offset "X" of the knife channel, e.g.,knife channel 115b, and the offset "Y" of the disposition of the electrical lead orwire 126 relative to longitudinal axis "A" may be different or the same depending upon a particular purpose or to facilitate manufacturing. - For example, in one embodiment, the offset distance "X" may be in the range of about 250 µm to about 1 mm (about 0.010 inches to about 0.040 inches) whereas the offset distance "Y" may be in the range about 1 mm to about 3.6 mm (about 0.040 inches to about 0.140 inches). In addition, particular "X" and "Y" configurations may be as follows: when "X" is of about 250 µm (about 0.010 inches) "Y" may be about 1 mm (about 0.040 inches) when "X" is about 0.43 mm (about 0.017 inches) "Y" may be about 1.78 mm (about 0.070 inches); and when "X" is about 0.86 mm (about 0.034 inches) "Y" may be about 3.6 mm (about 0.140 inches). Other configurations and offsets for "X" and "Y" are also contemplated and within the scope of this disclosure.
-
Fig. 9 shows another embodiment of the knife guide 133' that includes similar features to theknife guide 133 described above such aselongated slot 181c',pivot hole 186c' and blade stop 135'. In this particular embodiment, the blade stop is moveable from a first position that interferes with the knife path 138 (SeeFig. 7 ) to prevent distal translation of theknife 190 when thejaw members knife 190 when thejaw members knife path 138 when thejaw members blade stop 135 prevents distal advancement ofknife blade 190 whenjaw members knife blade 190 whenjaw members - From the foregoing and with reference to the various figure drawings, those skilled in the art will appreciate that certain modifications can also be made to the several embodiments of the disclosure have been shown in the drawings, it is not intended that the disclosure be limited thereto, as it is intended that the disclosure be as broad in scope as the art will allow and that the specification be read likewise. Therefore, the above description should not be construed as limiting, but merely as exemplifications of particular embodiments. Those skilled in the art will envision other modifications within the scope of the claims appended hereto.
Claims (15)
- A forceps (10), comprising:a housing (20) having a shaft (12) attached thereto, the shaft having a longitudinal axis defined therethrough and an end effector assembly (100) disposed at a distal end (16) thereof, wherein the end effector assembly includes:first (110) and second (120) jaw members disposed in opposing relation relative to one another and moveable from a first position to a second position for grasping tissue therebetween, each of the jaw members including a proximal flange (113, 123) adapted to communicate with a drive assembly (60) for moving the jaw members between the first and second positions and at least one of the jaw members including a knife channel (115) defined therein,and characterized in that:i) a proximal end of the knife channel is offset from the longitudinal axis defined through the shaft;ii) each proximal flange has an interior face abutting the other of the flanges, and an opposing exterior faceiii) a knife guide (133) is assembled adjacent the exterior face of one of the proximal flanges of the jaw members on the same side as the proximal end of the knife channel, the knife guide defining a knife path (138) therein configured to guide a knife into the knife channel for translation therethrough.
- A forceps according to claim 1, wherein the forceps includes at least one handle (30) that operably couples to a drive assembly for moving the jaw members between the first and second positions.
- A forceps according to claim 1, wherein at least one of the jaw members is adapted to connect (310) to an electrosurgical energy source to communicate energy to tissue disposed between the jaw members.
- A forceps according to claim 1 or 2, wherein the proximal flanges of the end effector and the knife guide include elongated slots (181) defined therethrough that cooperate with a drive pin (180) operably connected to the drive assembly to move the jaw members from the first position to the second position.
- A forceps according to claim 4, wherein the elongated slots of the proximal flanges are cam slots that operably engage the drive pin and the elongated slot (181c) of the knife guide is a pass-through slot.
- A forceps according to any one of the preceding claims, wherein a distal portion of the knife channel is curved.
- A forceps according to claim 6, wherein the offset knife channel and the disposition of the knife guide relative to the longitudinal axis facilitate substantially straight extension of the knife through the knife channel along a substantial length of the knife channel.
- A forceps according to any one of the preceding claims, wherein the proximal end of the knife channel is offset a distance X relative to the longitudinal axis defined through the forceps, wherein X is in the range of about 250µm to about 1 mm (about 0.010 inches to about 0.040 inches).
- A forceps according to any one of the preceding claims, wherein the knife guide includes a channel defined therein for guiding an electrical lead (126) to at least one of the jaw members for supplying electrosurgical energy thereto.
- A forceps according to any one of the preceding claims, wherein the knife channel is defined within both the first and second jaw members and the knife guide is configured to preload the jaw members during assembly for ensuring proper alignment of the knife channels.
- A forceps according to any one of the preceding claims, and comprising:a blade stop (135) at a distal end of the knife guide, and positionable from a first position that interferes with the knife path to prevent distal translation of the knife when the jaw members are disposed in the first configuration to a second position that allows distal translation of the knife when the jaw members are disposed in the second configuration.
- A forceps according to claim 11, wherein the blade stop is pivotably engaged to the knife guide and biased to obstruct the knife path when the jaw members are disposed in the first, open configuration.
- A forceps according to claim 11 or 12, wherein a distal portion of the knife channel is curved.
- A forceps according to claim 13, wherein the offset knife channel and the disposition of the knife guide relative to the longitudinal axis facilitate substantially straight extension of the knife through the knife channel along a substantial length of the knife channel.
- A forceps according to any one of claims 11 to 14, wherein the proximal end of the knife channel is offset a distance X relative to the longitudinal axis defined through the forceps, wherein X is in the range of about 250µm to about 1 mm (about 0.010 inches to about 0.040 inches).
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US12/499,553 US8246618B2 (en) | 2009-07-08 | 2009-07-08 | Electrosurgical jaws with offset knife |
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EP2272454B1 true EP2272454B1 (en) | 2012-02-08 |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US10765471B2 (en) | 2016-04-15 | 2020-09-08 | Bolder Surgical, Llc | Electrosurgical sealer and divider |
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ES2381939T3 (en) | 2012-06-01 |
EP2272454A1 (en) | 2011-01-12 |
US9364247B2 (en) | 2016-06-14 |
US20110009864A1 (en) | 2011-01-13 |
US8246618B2 (en) | 2012-08-21 |
US20120303023A1 (en) | 2012-11-29 |
US20130338666A1 (en) | 2013-12-19 |
ATE544413T1 (en) | 2012-02-15 |
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